KRISTEN COFFMAN (NPI# 1104312420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104312420 |
| Entity Type | Individual |
| Full Name | KRISTEN COFFMAN |
| Credential | PMHNP |
| Practice Address |
400 Hardin Rd Ste 150 Little Rock AR 72211-3507 |
| Practice Telephone | 5016032147 |
| Practice Fax Number | 5016030204 |
| Mailing Telephone | 5016032147 |
| Mailing Fax Number | 5016030204 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ATP-001331 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548864 | Kristen M Coffman | Physical Therapist | 4101 Long Prairie Rd, Flower Mound, TX 75028-1567 | 2018-08-16 |
| Street Address |
400 HARDIN RD STE 150 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861594483 | Rickey Etheridge | Counselor | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2006-09-03 |
| 1952900821 | Jalan Caffey | Case Manager/Care Coordinator | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2020-10-22 |
| 1861091738 | Kevin Stokes | Case Manager/Care Coordinator | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2020-10-22 |
| 1821606302 | Jacobie Amos | Case Manager/Care Coordinator | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2020-07-21 |
| 1871101345 | Stephanie Taylor | Social Worker | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2020-07-21 |
| 1073143855 | Charles A Carter | Social Worker | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2020-01-22 |
| 1588202873 | Johnny Davis | Counselor | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2019-12-17 |
| 1710524350 | Amanda Robinson | Counselor | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2019-12-03 |
| 1013566686 | Kyle Webb | Case Manager/Care Coordinator | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2019-09-06 |
| 1841845542 | David Dalton | Counselor | 400 Hardin Rd Ste 150, Little Rock, AR 72211-3507 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1912473125 | Christopher Lucas Stone | Nurse Practitioner | 133 Booker St, Little Rock, AR 72205-5813 | 2018-10-16 |
| 1861843831 | Chloe Ward | Nurse Practitioner | 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 | 2016-06-30 |
| 1407226327 | Connie Brown | Nurse Practitioner | 2504 Stephanie Dr, Little Rock, AR 72206-5418 | 2015-10-05 |
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1831717115 | Martha Marie Shaw | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-13 |
| 1790311314 | Angela Michaela Holyfield | Nurse Practitioner | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-03-15 |
| 1780215640 | Amanda Cabaniss Rogers | Nurse Practitioner | 6 Emerald Ct, Little Rock, AR 72212-2107 | 2020-01-30 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on KRISTEN COFFMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.